St Josephs Hospital Breese of the Hospital Sisters of the Third Orde

NPI #1205469350 in Breese, Illinois

Provider Information

NPI Number: 1205469350
Entity Type: Organization
Organization Name: St Josephs Hospital Breese of the Hospital Sisters of the Third Orde
Subpart: Yes (part of a larger organization)
Parent Organization: ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Primary Specialty: Clinic/Center - Pain
Enumeration Date: Feb 18, 2020
Last Updated: Oct 31, 2024

Practice Location

Address: 9515 HOLY CROSS LN
City: Breese
State: Illinois
ZIP Code: 62230-3618
Phone: (618) 526-4511

Authorized Official

Name: MARK DUANE EVARD
Title: VP OF REVENUE CYCLE
Phone: (217) 492-9651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Clinic/Center - Pain — Pain	261QP3300X	Primary

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